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Journal of Gastrointestinal Surgery :... Jul 2022
Topics: Duodenal Diseases; Humans; Intestinal Fistula; Vena Cava, Inferior
PubMed: 35141838
DOI: 10.1007/s11605-022-05267-3 -
Zhonghua Wei Chang Wai Ke Za Zhi =... Mar 2017Duodenal injury is a serious abdominal organ injury. Duodenal fistula is one of the most serious complications in gastrointestinal surgery, which is concerned for its...
Duodenal injury is a serious abdominal organ injury. Duodenal fistula is one of the most serious complications in gastrointestinal surgery, which is concerned for its critical status, difficulty in treatment and high mortality. Thoracic and abdominal compound closed injury and a small part of open injury are common causes of duodenal injury. Iatrogenic or traumatic injury, malnutrition, cancer, tuberculosis, Crohn's disease etc. are common causes of duodenal fistula, however, there has been still lacking of ideal diagnosis and treatment by now. The primary treatment strategy of duodenal fistula is to determine the cause of disease and its key point is prevention, including perioperative parenteral and enteral nutrition support, improvement of hypoproteinemia actively, avoidance of stump ischemia by excessive separate duodenum intraoperatively, performance of appropriate duodenum stump suture to ensure the stump blood supply, and avoidance of postoperative input loop obstruction, postoperative stump bleeding or hematoma etc. Once duodenal fistula occurs, a simple and reasonable operation can be selected and performed after fluid prohibition, parenteral and enteral nutrition, acid suppression, enzyme inhibition, anti-infective treatment and maintaining water salt electrolyte and acid-base balance. Double tube method, duodenal decompression and peritoneal drainage can reduce duodenal fistula-related complications, and then reduce the mortality, which can save the lives of patients.
Topics: Abdominal Injuries; Anti-Infective Agents; Decompression, Surgical; Digestive System Surgical Procedures; Drainage; Duodenal Diseases; Duodenum; Enteral Nutrition; Humans; Hypoproteinemia; Intestinal Fistula; Ischemia; Nutritional Support; Parenteral Nutrition; Postoperative Complications; Suture Techniques; Thoracic Injuries
PubMed: 28338158
DOI: No ID Found -
Neurogastroenterology and Motility Mar 2018Upper gastrointestinal symptoms in children are common and motility disorders are considered in the differential diagnosis. High resolution esophageal manometry (HRM)... (Review)
Review
BACKGROUND
Upper gastrointestinal symptoms in children are common and motility disorders are considered in the differential diagnosis. High resolution esophageal manometry (HRM) has revolutionized the study of esophageal physiology, and the addition of impedance has provided new insights into esophageal function. Antroduodenal motility has provided insight into gastric and small bowel function.
PURPOSE
This review highlights some of the recent advances in pediatric esophageal and antroduodenal motility testing including indications, preparation, performance, and interpretation of the tests. This update is the second part of a two part series on manometry studies in children (first part was on anorectal and colonic manometry [Neurogastroenterol Motil. 2016;29:e12944]), and has been endorsed by the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the American Neurogastroenterology and Motility Society (ANMS).
Topics: Consensus; Duodenal Diseases; Esophageal Motility Disorders; Gastrointestinal Motility; Humans; Manometry
PubMed: 29178261
DOI: 10.1111/nmo.13239 -
Gastrointestinal Endoscopy Jan 2015
Review
Topics: Advisory Committees; Biopsy; Duodenal Diseases; Endoscopy, Digestive System; Esophageal Diseases; Gastrointestinal Hemorrhage; Humans; Informed Consent; Quality Indicators, Health Care; Stomach Diseases
PubMed: 25480101
DOI: 10.1016/j.gie.2014.07.057 -
The American Journal of Gastroenterology Aug 2019Involvement of the gastrointestinal (GI) tract is an infrequent extrathoracic presentation of sarcoidosis. We reviewed 305 cases of GI involvement reported in 238... (Review)
Review
Involvement of the gastrointestinal (GI) tract is an infrequent extrathoracic presentation of sarcoidosis. We reviewed 305 cases of GI involvement reported in 238 patients, in whom GI sarcoidosis was the first sign of the disease in half the cases. The disease does not affect the GI tract uniformly, with a clear oral-anal gradient (80% of reported cases involved the esophagus, stomach, and duodenum). Clinicopathological mechanisms of damage may include diffuse mucosal infiltration, endoluminal exophytic lesions, involvement of the myenteric plexus, and extrinsic compressions. Ten percent of patients presented with asymptomatic or subclinical disease found on endoscopy. The diagnosis is relevant clinically because 22% of cases reviewed presented as life threatening. In addition, initial clinical/endoscopic findings may be highly suggestive of GI cancer. The therapeutic approach is heterogeneous and included wait-and-see or symptomatic approaches, glucocorticoid/immunosuppressive therapy, and surgery. Sarcoidosis of the gut is a heterogeneous, potentially life-threatening condition that requires a multidisciplinary approach and early clinical suspicion to institute personalized therapeutic management and follow-up.
Topics: Deglutition Disorders; Duodenal Diseases; Endoscopy, Gastrointestinal; Esophageal Achalasia; Esophageal Diseases; Esophageal Mucosa; Gastrointestinal Diseases; Glucocorticoids; Humans; Ileal Diseases; Immunosuppressive Agents; Jejunal Diseases; Lymphadenopathy; Mediastinum; Myenteric Plexus; Myotomy; Polyps; Proton Pump Inhibitors; Sarcoidosis; Stomach Diseases
PubMed: 30865014
DOI: 10.14309/ajg.0000000000000171 -
The American Surgeon Apr 2023
Topics: Humans; Duodenal Diseases; Cysts; Digestive System Abnormalities; Duodenum
PubMed: 33342289
DOI: 10.1177/0003134820956282 -
Gastroenterologia Y Hepatologia Apr 2022
Topics: Biliary Fistula; Duodenal Diseases; Duodenal Ulcer; Duodenum; Humans; Intestinal Fistula
PubMed: 33727008
DOI: 10.1016/j.gastrohep.2021.02.003 -
Mayo Clinic Proceedings Jul 2020
Topics: Aged; Balloon Enteroscopy; Duodenal Diseases; Female; Humans; Intestinal Mucosa; Jejunal Diseases; Melanosis
PubMed: 32622448
DOI: 10.1016/j.mayocp.2020.03.002 -
Arab Journal of Gastroenterology : the... Feb 2024Brunner's gland hamartoma (BGH) is a rare, benign tumor of the duodenum. It is mostly asymptomatic and usually found incidentally on routine esophagogastroduodenoscopy... (Review)
Review
Brunner's gland hamartoma (BGH) is a rare, benign tumor of the duodenum. It is mostly asymptomatic and usually found incidentally on routine esophagogastroduodenoscopy (EGD). However, some BGHs present with major complications including anemia, bleeding, obstruction, or dysplasia, requiring management and resection of these lesions. Herein, we present two cases of large BGHs of the duodenum, one presenting as severe gastrointestinal bleeding and the other, noted on EGD for iron deficiency anemia, found to have high grade dysplasia. This literature review discusses the rare serious complications of BGH, including iron deficiency anemia, overt gastrointestinal bleeding, and malignant potential.
Topics: Humans; Brunner Glands; Duodenal Diseases; Anemia, Iron-Deficiency; Hamartoma; Gastrointestinal Hemorrhage
PubMed: 38296695
DOI: 10.1016/j.ajg.2023.12.003 -
Abdominal Radiology (New York) Aug 2017This review article focuses on gastroduodenal and pancreatic surgeries with the goal of identifying radiologic findings that translate to important surgical... (Review)
Review
This review article focuses on gastroduodenal and pancreatic surgeries with the goal of identifying radiologic findings that translate to important surgical considerations. The topics covered include partial gastrectomy with reconstruction techniques, total gastrectomy, pancreaticoduodenectomy, and pancreaticojejunostomy. Indications, contraindications, surgical techniques, and postoperative imaging are described within each of these topics. Knowledge of these surgical techniques is extremely helpful for the interpreting radiologists to identify expected postoperative anatomy and related complications that would remain clinically relevant to our surgical colleagues and direct timely patient management.
Topics: Digestive System Surgical Procedures; Duodenal Diseases; Humans; Pancreatic Diseases; Postoperative Complications; Stomach Diseases
PubMed: 28493073
DOI: 10.1007/s00261-017-1165-9